Nasal Cauterization: Effective Treatment for Nose Issues

The main indications for nasal cautery, also known as nasal caustics or nasal mucosal cauterization, include various chronic forms of rhinitis that do not respond well to conservative treatment methods. Among the most common are hypertrophic rhinitis, which is characterized by pronounced hyperplasia and thickening of the nasal mucous membrane, and vasomotor rhinitis, often caused by neurovegetative or hormonal imbalances that lead to persistent nasal congestion and swelling. In these conditions, nasal cautery helps reduce the excessive vascular response and restore normal airflow through the nasal passages. By precisely targeting the overgrown or inflamed areas of the mucosa, the procedure improves breathing, decreases dependence on decongestant sprays, and helps prevent recurrent nosebleeds associated with fragile nasal vessels. Overall, this technique remains one of the most effective modern solutions for managing chronic nasal obstruction and maintaining healthy nasal function, making it a valuable treatment option for patients suffering from long-term rhinitis through nasal cautery.

Nasal mucosal cauterization procedure

Silver cauterization

In the classic version, cauterization of the nasal mucosa is performed with a solution of silver nitrate, chromic anhydride, and trichloroacetic acid, applied with a cotton swab. The concentration of the mixture is 40-50%. Chromic anhydride is in the form of small crystals. It is collected with a special metal probe and held over an alcohol flame until the crystals completely melt. They transform into a kind of “pearl.” The mucous membrane is first lubricated with an anesthetic solution (lidocaine with adrenaline).

• The main rule when working with the nasal mucosa is to apply the solution asymmetrically. Cauterizing symmetrical areas, especially in the septal cartilage, leads to the formation of adhesions.

• The final step is lubricating the nasal passages. Vaseline, olive oil, or any other oil can be used for this purpose. The doctor will also prescribe oil-based nasal drops to be used for the next 3 days. This will help eliminate the reactive symptoms.

Laser cauterization

Currently, ultrasound and laser technologies are alternative treatment options for vasomotor and hypertrophic forms of chronic rhinitis, but traditional cauterization of the nasal mucosa remains the method of choice.

Galvanocaustics

Otolaryngologists have other methods for treating the mucous membrane, including galvanocautery. This procedure is based on an electric current delivered through a transformer. Cautery is performed with a special tip with a handle, which can be needle-shaped or flat. As part of local anesthesia, the mucous membrane is lubricated or irrigated with a solution of lidocaine and adrenaline. A cold galvanocautery is then inserted into the nasal cavity, and the current is applied. The doctor advances the tip gradually, using smooth movements, from back to front. After the procedure, the tip is removed very carefully, avoiding contact with the skin of the nasal vestibule to avoid damage. The patient remains seated throughout. A nasal speculum is used to visualize the process.

• If the nasal passages are excessively narrow, they are covered with gauze pads soaked in oil before cauterization. This prevents the formation of adhesions. The final step, as with classic chemical cauterization, is the application of oil drops prescribed by a doctor. These should also be applied 5 times daily for 3-4 days.

• The best method for treating the nasal mucosa is determined during a preliminary consultation with an otolaryngologist. The doctor will consider the severity of the clinical signs of rhinitis, the duration of the illness, and the physiological characteristics of the patient’s nasal structure.
• Seeing a doctor promptly will help maintain your health.

Nasal mucosal cauterization

Nasal mucosal cauterization (or coagulation) is a surgical procedure that helps reduce hypertrophied areas of the nasal mucosa. Chronic rhinitis, which is often associated with breathing difficulties, can lead to dependence on decongestants. However, cauterization of the nasal mucosa reduces its blood supply, which promotes contraction of the mucosa itself, restoring the ability to breathe through the nose. Furthermore, this method can help manage frequent nosebleeds, as well as other types of rhinitis, such as vasotonic, allergic, and medicamentous rhinitis.

Cauterization of the mucous membrane

Indications for coagulation

This procedure is indicated in the following cases: chronic rhinitis that does not respond to other treatment methods, inability to breathe through the nose without the use of vasoconstrictor drugs, recurrent nosebleeds, and hypertrophy (enlargement) of the mucous membrane.

There are several methods for cauterizing the nasal mucosa, including silver cauterization, cryocoagulation, electrocoagulation, laser cauterization, and radio wave disintegration of the inferior turbinate mucosa. Each method has its own characteristics, and the choice depends on the indications and individual patient needs.

Advantages

The advantages of nasal mucosal cauterization include the fact that the procedure does not require general anesthesia and can be performed under local anesthesia. Treatment is performed only in the affected area, thereby preserving the surrounding tissue. Furthermore, the procedure requires no special preparation, has a relatively short recovery period, and does not require a hospital stay.

Rehabilitation after cauterization of the nasal mucosa

To ensure successful recovery after the procedure, it is necessary to follow the doctor’s recommendations, including not blowing your nose for several days, avoiding nasal manipulation, avoiding physical activity and hot water treatments, avoiding irritating foods and alcohol, and using topical treatments prescribed by your doctor.

Mucosal cauterization has its risks and limitations

Like any medical procedure, nasal mucosal cauterization has its risks and limitations, and it’s important to consult a doctor and review the indications and contraindications before undergoing it. However, with the right approach and following post-procedure recommendations, nasal mucosal cauterization can significantly improve a patient’s quality of life, as it resolves breathing problems and nosebleeds, restoring free nasal breathing.

Nasal mucosal cauterization is an effective treatment

Nasal mucosal cauterization is an effective treatment method used for frequent nosebleeds and chronic inflammation. The procedure aims to eliminate bleeding vessels and improve the condition of the mucous membrane. The procedure is performed using various methods, including laser, electrical, and chemical methods. Laser cauterization of the nasal mucosa is one of the most popular and safest options, as it minimizes the risk of damage to surrounding tissue and shortens recovery time.

Conclusion

If you experience frequent nosebleeds or persistent nasal breathing difficulties, it is essential to consult an ENT specialist to determine whether nasal cauterization is the right treatment option for you. An experienced ENT can carefully assess the condition of your nasal passages and recommend the most effective solution based on your individual needs. You can easily schedule a consultation with an ENT specialist West Yorkshire by phone or through your personal account. The price for nasal cauterization is listed at the top of the page, and the procedure is typically performed on an outpatient basis, without the need for a long hospital stay. After treatment, it is crucial to follow your doctor’s post-procedure care instructions to ensure proper healing and prevent complications. Depending on the severity of the condition, multiple sessions may sometimes be necessary to achieve optimal results. Remember, a qualified ENT specialist will always choose the most appropriate and safe treatment method based on your specific nasal structure, overall health, and the underlying cause of your symptoms.